SERGEY D KUKHOTSKY (NPI# 1972782514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972782514 |
| Entity Type | Individual |
| Full Name | SERGEY D KUKHOTSKY |
| Credential | PAC |
| Practice Address |
1019 112th St Sw Everett WA 98204 |
| Practice Telephone | 4255516200 |
| Practice Fax Number | 4255516017 |
| Mailing Telephone | 4255516200 |
| Mailing Fax Number | 4255516017 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10005315 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1019 112TH ST SW |
| City | EVERETT |
| State | WA |
| Zip Code | 98204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
| 1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
| 1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
| 1871058073 | Lauren Nguyen | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-02-01 |
| 1104394097 | Reginah Nampinga | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-11-08 |
| 1790252708 | Elroy Dean Quemado | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-10-29 |
| 1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
| 1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
| 1699132001 | Samina Quidwai | Dentist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-01-15 |
| 1699131284 | Marissa Lee Darling | Dietitian, Registered | 1019 112th St Sw, Everett, WA 98204 | 2016-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521956 | Juliana Martins | Physician Assistant | 31 Freeman Ave, Everett, MA 02149-5204 | 2020-06-05 |
| 1528606324 | Lynda Lee Consolo | Physician Assistant | 18 Woodlawn Ave, Everett, MA 02149-5417 | 2019-12-12 |
| 1538519202 | Kristen Shafer | Physician Assistant | 2038 Winding Ridge Rd, Everett, PA 15537-4274 | 2016-06-14 |
| 1588098909 | Lidia Yemchuk | Physician Assistant | 4201 Rucker Ave, Everett, WA 98203-2215 | 2013-08-22 |
| 1134426133 | Anthony Joseph Danna | Physician Assistant | 103 Garland St Emergency Department, Everett, MA 02149-5066 | 2011-02-28 |
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1417133216 | Patricia Ann Buehler | Physician Assistant | 3726 Broadway Ste 101, Everett, WA 98201-3787 | 2008-01-11 |
| 1558404814 | Margarita G Burdetsky | Physician Assistant | 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 | 2007-02-15 |
| 1427127158 | Marcy Jo Herzog | Physician Assistant | 185 Hospital Dr Ste 1, Everett, PA 15537-7018 | 2006-11-07 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.